Individual provider Active NPI

David D. Dragoo, M.D.

  • Diagnostic Radiology Physician
  • Indianapolis, IN
National Provider Identifier
1881984425
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME173444 Issued in FL
Practice address
5901 Technology Center Dr
Indianapolis, IN 46278-6013
Phone
(317) 328-5050
Fax
(317) 328-5053
NPI assigned
Apr 16, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 01084884A IN
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X ME173444 FL Primary

Addresses

Primary practice location

5901 Technology Center Dr
Indianapolis, IN 46278-6013

Mailing address

5901 Technology Center Dr
Indianapolis, IN 46278-6013
Phone (317) 328-5050

Other practice location 1

6311 S Pointe Blvd
Fort Myers, FL 33919-4901
Phone (239) 343-9251

Other identifiers 1

IdentifierTypeStateIssuer
127066000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201211000311 IN Practitioner - Diagnostic Radiology 9931414430 Reassigns benefits to 2 organizations
I20250613000431 FL Practitioner - Diagnostic Radiology 9931414430 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Florida Radiology Consultants P aGroup PAC ID 3678471943, 70 clinicians
Florida Radiology Leasing LLCGroup PAC ID 1759327356, 39 clinicians

Practice addresses (Care Compare)

2776 Cleveland Ave
Fort Myers, FL 33901-5864
Phone (239) 938-3571

6311 S Pointe Blvd
Suite 600
Fort Myers, FL 33919-4901
Phone (239) 938-3500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01084884AINMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Radiology Leasing LLC Diagnostic Radiology CurrentSince Jun 5, 2025 Accepting new patients
Northwest Radiology Network P C Diagnostic Radiology CurrentSince Jan 1, 2021 Accepting new patients
Florida Radiology Consultants P a Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
Lee Health System Inc CurrentSince Jun 5, 2025 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Mar 1, 2023 Accepting new patients
Lee Health System Inc CurrentSince Jun 5, 2025 Accepting new patients

Locations

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

6311 S Pointe Blvd
Fort Myers, FL 33919
Phone (239) 275-0040

8192 College Pkwy
Ste 6
Fort Myers, FL 33919
Phone (239) 481-8022

9981 S Healthpark Dr
Fort Myers, FL 33908
Phone (239) 332-5344

6311 S Pointe Blvd
Ste 600
Fort Myers, FL 33919
Phone (239) 343-9150

10603 N Meridian St
Carmel, IN 46290
Phone (317) 415-6050

1201 S Main St
Crown Point, IN 46307
Phone (219) 738-2100

5901 Technology Center Dr
Indianapolis, IN 46278
Phone (317) 328-4777

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1881984425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 TECHNOLOGY CENTER DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462786013",
            "telephone_number": "317-328-5050",
            "fax_number": "317-328-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 TECHNOLOGY CENTER DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462786013",
            "telephone_number": "317-328-5050",
            "fax_number": "317-328-5053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6311 S Pointe Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339194901",
            "country_code": "US",
            "telephone_number": "239-343-9251",
            "fax_number": "239-343-9159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRAGOO",
        "first_name": "DAVID",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-16",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01084884A",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME173444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127066000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.